Pauliina Husu, Jani Raitanen and Riitta M. Luoto contributed equally to this work.
The authors declare that they have no competing interests.
RL originated the idea of the study, and RL, PH and PPAT performed the study’s initial design. RL is responsible for the NELLI five-year follow-up study. PH and PPAT designed the measurements of physical activity (using accelerometers and questionnaires). PPAT is responsible for the Moving Sound study in collaboration with RL, who was in charge of the DVD order from the Sibelius Academy. JR is responsible for the statistical analyses. PPAT prepared the first version of the manuscript. All authors (PPAT, PH, JR, and RML) were involved in its revision for content and have given final approval of the version to be published. All authors read and approved the final manuscript.
Measured objectively, under a quarter of adults and fewer than half of preschool children meet the criteria set in the aerobic physical activity recommendations of the Centers for Disease Control and Prevention. Moreover, adults reportedly are sedentary (seated or lying down) for most of their waking hours. Importantly, greater amounts of sedentary time on parents’ part are associated with an increased risk of more sedentary time among their children. A randomized controlled trial targeting mother-child pairs has been designed, to examine whether a movement-to-music video program may be effective in reducing sedentary time and increasing physical activity in the home environment.
Mother-child pairs (child age of 4–7 years) will be recruited from among NELLI lifestyle-modification study five-year follow-up cohort participants, encompassing 14 municipalities in Pirkanmaa region, Finland.
Accelerometer and exercise diary data are to be collected for intervention and control groups at the first, second and eighth week after the baseline measurements. Background factors, physical activity, screen time, motivation to exercise, and self-reported height and weight, along with quality of life, will be assessed via questionnaires. After the baseline and first week measurements, the participants of the intervention group will receive a movement-to-music video program designed to reduce sedentary time and increase physical activity. Intervention group mother-child pairs will be instructed to exercise every other day while watching the video program over the next seven weeks. Information on experiences of the use of the movement-to-music video program will be collected 8 weeks after baseline. Effects of the intervention will be analyzed in line with the intention-to-treat principle through comparison of the changes in the main outcomes between intervention and control group participants. The study has received ethics approval from the Pirkanmaa Ethics Committee in Human Sciences.
The study will yield information on the effectiveness of movement-to-music video exercise in reducing sedentary behavior. Intervention-based methods have proven effective in increasing physical activity in home environments. Music may improve exercise adherence, which creates a possibility of achieving long-term health benefits.
The study is registered at ClinicalTrials.gov, as NCT02270138. It was registered on October 2, 2014.